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1912590464
CARMEN BENGOA
NAMPA, ID
NPI
1912590464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID 7292)
Enumeration Date
2021-02-16
Last Update Date
2021-02-16
Business Address
CARMEN BENGOA LPC
320 11TH AVE S STE 205
NAMPA, ID 83651-5074
Phone number: 208-602-4474
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Mailing Address
CARMEN BENGOA LPC
320 11TH AVE S STE 205
NAMPA, ID 83651-5074
Phone number: 208-602-4474
Copy
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